Authorization Coordinator

COPE Health Solutions

1d•Remote

About The Position

The Authorization Coordinator supports the Utilization management department by processing prior authorization and service requests for members in accordance with policies, regulatory requirements, and clinical guidelines. This role ensures accurate intake, documentation, and routing of authorization requests while coordinating with providers, members and internal departments to facilitate timely access to medically necessary services. The Authorization Coordinator works under general supervision and plays a key role in maintaining efficient UM operations, ensuring regulatory compliance, and supporting high – quality member service.

Requirements

Minimum 2–3 years of experience in healthcare customer service, authorization processing, or utilization management
Experience working in a Managed Care or Health Plan environment
Familiarity with prior authorization workflows
Strong written and verbal communication skills
Prior experience in Utilization Management intake or prior authorization within a health plan

Nice To Haves

Attention to detail and accuracy
Customer and provider service orientation
Ability to work in a fast-paced, high-volume environment
Critical thinking and problem-solving skills
Collaboration and cross-functional teamwork
Time management and prioritization
Adaptability and continuous improvement mindset

Responsibilities

Processing prior authorization and service requests for members in accordance with policies, regulatory requirements, and clinical guidelines.
Ensuring accurate intake, documentation, and routing of authorization requests.
Coordinating with providers, members and internal departments to facilitate timely access to medically necessary services.
Maintaining efficient UM operations.
Ensuring regulatory compliance.
Supporting high – quality member service.